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Organization

BELLA'S RESERVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN KIM MD (PHYSICIAN/OWNER)
(301) 622-0400
Entity
Organization

Contact information

Practice address
2120 INDUSTRIAL PKWY, SILVER SPRING, MD 20904-1998
(301) 622-0400
(301) 622-4383
Mailing address
2120 INDUSTRIAL PKWY, SILVER SPRING, MD 20904-1998
(301) 622-0400
(301) 622-4383

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420736000
MD
Enumeration date
11/18/2011
Last updated
11/18/2011
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